Ryan Poulin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL24511 Issued in MA

Practice address

73 Canal St
Millbury, MA 01527-3253

Phone

(508) 581-8703

NPI assigned

Aug 5, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greendale Physical Therapy LLCGroup PAC ID 9133013691, 36 clinicians

DG Physical Therapy PCGroup PAC ID 0143503680, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DG Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Chelmsford, MA
  • NPI 1295279198

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Greendale Physical Therapy, LLC

  • Physical Therapist
  • Shrewsbury, MA
  • NPI 1053316182
  Medicare reassignment Care Compare group NPD
• DG Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Millbury, MA
  • NPI 1730641168
  NPD
• DG Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • North Grafton, MA
  • NPI 1881270544
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1194370437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 CANAL ST",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015273253",
            "telephone_number": "508-581-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CANAL ST",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015273253",
            "telephone_number": "508-581-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIN",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL24511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpoulin@selectmedical.com",
            "affiliation": "N",
            "address_1": "73 Canal St",
            "city": "Millbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015273253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Lanzillotti Peterson, D.M.D.
• Olivia Michelle Peterson, MSW
• Eric George Piascik, D.M.D.
• Melissa Pomeroy, PT
• Vicki Portais, PT
• Michelle Lee Prue
• R.E.S.T. Counseling Services, LLC
• Yana Rabkin
• Radius Millbury Operating LLC
• Christa Julienne Rebidue, PT

• Physical Therapist in Millbury, MA
• Providers in Millbury, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.